The Experts View

The industry has been notified that CMS has reviewed and processed a significant amount of backlogged Workers' Compensation Medicare Set-Asides (WCMSAs). The following e-mail appears to have been sent ... Read More

In times past claims audits were a stringent requirement in every insurance company, TPA, and self-insured self-administered company. These exercises were essentially claims performance evaluations that ... Read More

As President Obama and Congress seek to grapple with the looming fiscal cliff, the notion of changing the age for eligibility of Medicare to age 67 appears to be back on the table.
According to an ... Read More

I've had a lot more questions about leading indicators and how they fit into the planning and implementation of health and safety plans, and so, I thought a further example and simple graphic organizer ... Read More

A state trial court sitting in its appellate capacity was called upon to decide this question in Robinson v. Land-O-Sun Dairies, LLC, 2012 Phila. Ct. Common. Pl. LEXIS 324 (Sept. 19, 2012). The Pennsylvania ... Read More

When states began to adopt workers compensation laws in the early part of the twentieth century, the system was predicated on a no-fault philosophy. Indemnity benefits and medical treatment would be ... Read More

The Property Casualty Insurers Association of America (PCI) and FICO (Fair Isaac, maker of fraud detection software) conducted a survey of underwriters that reveals almost half of the companies that ... Read More

I was invited to deliver the keynote presentation at the “Make It Safe” conference a few days ago. The event was hosted by the FIOSA-MIOSA Safety Alliance of BC, the Canadian Manufacturers & ... Read More